Active NPI
Terry Wayne Sherraden, M.D.
- Specialist
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0045932
- Practice address
- 2406 E Plaza Dr
Tallahassee, FL 32308-5301 - Phone
- (850) 877-7387
- Fax
- (850) 656-3376
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0045932 | FL | Primary |
Addresses
Primary practice location
2406 E Plaza Dr
Tallahassee, FL 32308-5301
Mailing address
2633 Centennial Blvd
Suite 100
Tallahassee, FL 32308-0585
Phone (850) 877-7387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0045932 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Tallahassee Endocrine Associates | Specialist | Past | Accepting new patients |
Locations
1309 Thomasville Rd
Tallahassee, FL 32303
Phone (850) 431-5910
2633 Centennial Blvd
Tallahassee, FL 32308
Phone (850) 877-7387
1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360
2633 Centennial Blvd
Ste 100
Tallahassee, FL 32308
Phone (850) 431-5404
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Endocrinology, Diabetes & Metabolism Physician
- Tallahassee, FL
- NPI 1790040160
-
- Specialist
- Tallahassee, FL
- NPI 1780726604
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1629003207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2633 CENTENNIAL BLVD",
"address_2": "SUITE 100",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323080585",
"telephone_number": "850-877-7387",
"fax_number": "850-656-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 E PLAZA DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085301",
"telephone_number": "850-877-7387",
"fax_number": "850-656-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRADEN",
"first_name": "TERRY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0045932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.